Individual provider Active NPI

Michelle M Defreitas, M.D.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1144354390
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125773 Issued in FL
Practice address
1740 Sheridan St
Hollywood, FL 33020-2275
Phone
(954) 276-1565
NPI assigned
Mar 16, 2007
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME125773 FL Primary

Addresses

Primary practice location

1740 Sheridan St
Hollywood, FL 33020-2275

Mailing address

1740 Sheridan St
Hollywood, FL 33020-2275
Phone (954) 276-1565

Other identifiers 1

IdentifierTypeStateIssuer
766771000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161018001611 FL Practitioner - Family Practice 5496043861 Reassigns benefits to 3 organizations
I20210817004099 TX Practitioner - Family Practice 5496043861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, shared by 55 NPIs, 659 clinicians
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

10910 Pembroke Rd
Miramar, FL 33025-1706
Phone (954) 265-8100

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125773FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jul 24, 2017 Accepting new patients
Seminole Tribe of Florida Health Dept. Current Accepting new patients
South Broward Hospital District CurrentSince Jun 1, 2023 Accepting new patients
Criticare Clinics Inc CurrentSince Mar 7, 2017 Accepting new patients
South Broward Hospital District Current Accepting new patients
Seminole Tribe of Florida CurrentSince Aug 1, 2021 Accepting new patients
Seminole Tribe of Florida Health Department CurrentSince Aug 1, 2021 Accepting new patients

Locations

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

16620 Sheridan St
Fort Lauderdale, FL 33331
Phone (954) 265-3451

8665 NW 186th St
Hialeah, FL 33015
Phone (305) 682-2626

111 W Coral Way
Hollywood, FL 33021
Phone (954) 962-2009

111 W Coral Way
Rm 107
Hollywood, FL 33021

1740 Sheridan St
Hollywood, FL 33020
Phone (954) 276-1565

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

8400 NW 53rd St
Miami, FL 33166

709 Alton Rd
Ste 440
Miami Beach, FL 33139
Phone (786) 595-8220

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

10910 Pembroke Rd
Miramar, FL 33025
Phone (954) 265-8100

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5663

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

1228 S Pine Island Rd
Ste 110
Plantation, FL 33324
Phone (305) 669-2833

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1144354390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202275",
            "telephone_number": "954-276-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202275",
            "telephone_number": "954-276-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-08-02",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766771000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.